Acute Kidney Injury, Congenital Heart Disease
Conditions
Keywords
propofol,sevoflurane
Brief summary
This study evaluates Different effects of two anesthetic techniques on renal function during the perioperative period of cardiac surgery in children.
Detailed description
Acute kidney injury is one of the major complications after heart surgery, which increases the mortality of patients. Therefore, early prevention and detection of acute kidney injury is particularly important. In recent years, more and more studies have shown that both sevoflurane, an inhaled anesthetic widely used in clinical practice, and propofol, an intravenous anesthetic, have protective effects on kidneys. The aim of this study was to investigate the perioperative effects of two different anesthetic techniques on renal function for pediatric cardiac surgery.
Interventions
sevoflurane was used to maintain anesthesia
propofol was used to maintain anesthesia
Sponsors
Study design
Eligibility
Inclusion criteria
* children with congenital heart disease * \<3 years of age
Exclusion criteria
* preoperative renal insufficiency; * renal malformation, kidney absence
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| renal blood flow | 2 days | Changes of blood flow information of renal artery was obtained before anesthesia induction, after anesthesia, at the end of operation and 24 hours after surgery, unit(cm/s) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| neutrophil gelatinase-associated lipocalin , NGAL | 2 days | Changes of blood NGAL were obtained before and 2 hours after surgery, unit(ng/ml) |
| creatinine | 3 and 4 days | Changes of creatinine before and 3 days after acquisition, unit (mmol/L) |
| Mean arterial pressure | 2 days | Mean arterial pressure synchronized with renal blood flow was recorded, unit (mmHg) |
| cardiopulmonary bypass (CPB) time | 24 hours | Cardiopulmonary bypass time was recorded, unit(minutes) |
Countries
China